Cure for Fluorosis

I used to catch my daughter in the bathroom sucking down whole tubes of toothpaste. We eventually had to lock them up and then supervise her while brushing. Now she has white spots on her teeth and they look a bit splotchy. I did some reading and I bet it is something called fluorosis. Is there anything I can do to help with this? I’m sure as she gets older it will bother her. I was thinking of teeth whitening. What are your thoughts?

Dennie

Dear Dennie,

white spots on teeth

It looks like you are trying hard to stay on top of your daughter’s oral health as well as her cosmetic appearance. You are right that it could be fluorosis. Teeth whitening, while it sounds like a good idea, will actually not help. It will whiten the surface of the teeth evenly. This means the uneven color will still be there only more evident.

You have a couple of options in the treatment of white spots. In some cases, using a treatment called Icon can work. That would be my first try because it doesn’t require any detailed cosmetic work.

If that doesn’t remove the spots, your other options are cosmetic. She’s too young for porcelain veneers. That will be an option after her teeth are fully developed. I would go with dental bonding. This uses a composite resin the dentist will hand sculpt onto her teeth and cover the white spots. However, this isn’t the type of procedure your average dentist can do. You will need an expert cosmetic dentist.

Finding a Great Cosmetic Dentist

Many people do not realize that cosmetic dentistry isn’t a recognized specialty. Any general dentist can call themselves a cosmetic dentist regardless of the amount of training they have put into developing their cosmetic skills. This is not something dentists learn in dental school. They have to invest time and training post-doctorally.

The best cosmetic dentists have reached accreditation with the American Academy of Cosmetic Dentistry. They are among the top 1% of cosmetic dentists in the country. However, it is not always easy to find one near you. If you run into that problem, an equally good option is to go to mynewsmile.com. They pre-screen cosmetic dentists for their training and artistic ability. They can also do a fine job for your daughter. Most of them are accredited or almost accredited (a process that takes years).

This blog is brought to you by Salem, MA Dentist Dr. Randall Burba.